US20100121382A1 - Vertical inline plate - Google Patents
Vertical inline plate Download PDFInfo
- Publication number
- US20100121382A1 US20100121382A1 US12/614,067 US61406709A US2010121382A1 US 20100121382 A1 US20100121382 A1 US 20100121382A1 US 61406709 A US61406709 A US 61406709A US 2010121382 A1 US2010121382 A1 US 2010121382A1
- Authority
- US
- United States
- Prior art keywords
- spinal plate
- plate
- holes
- spinal
- bone
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7059—Cortical plates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
- A61B17/8042—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers the additional component being a cover over the screw head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
- A61B17/8057—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/809—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with bone-penetrating elements, e.g. blades or prongs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Abstract
Description
- This application claims priority to the U.S. Provisional Application Ser. No. 61/112,442 filed on Nov. 7, 2008, which is incorporated herein by reference in its entirety.
- The present disclosure generally relates to a fixation device for positioning and immobilizing at least two adjacent vertebra. In particular, the present invention relates to an anterior cervical plate that immobilizes at least two adjacent vertebra.
- Bones and bony structures are susceptible to a variety of weaknesses that can affect their ability to provide support and structure. Weaknesses in bony structures may have many causes, including degenerative diseases, tumors, fractures, and dislocations. Advances in medicine and engineering have provided doctors with a plurality of devices and techniques for alleviating or curing these weaknesses.
- Typically, weaknesses in the spine are corrected by using devises that fuse one or more vertebrae together. Common devices involve plate systems that align and maintain adjacent cervical vertebrae in a desired position, with a desired spacing.
- These devises, commonly referred to as bone fixation plating systems, typically include one or more plates and screws for aligning and holding vertebrae in a fixed position with respect to one another. Initial devices used stainless steel plates and screws. In order to remain fixed in place, the screws were required to pass completely through the vertebrae and into the spinal canal. These systems generally rely on four or more screws. This also causes problems when part of one of the vertebra being screwed into is diseased or fractured.
- Thus, there is a need for a plate system that is small in width and provides similar structural stability as the larger plate system.
- A spinal plate having an upper surface and a lower surface, the lower surface adapted to contact bone. A plurality of holes extend from the upper surface to the lower surface through the plate which is configured and adapted to receive bone fasteners for fixing the spinal plate to bone. At least one set screw receiving hole adjacent from each one of the plurality of holes, the set screw receiving hole configured to adapt with a set screw. The lower surface of the spinal plate comprises a ridge that protrudes from the underside of the plate and encloses the plurality of holes spaced inward from the perimeter of the spinal plate.
-
FIG. 1 is a top perspective of the vertical inline plate according to the present invention; -
FIG. 2 is a top view of the vertical inline plate according to the present invention; -
FIG. 3 is a bottom perspective view of the vertical inline plate according to the present invention; -
FIG. 4 is a bottom view of the vertical inline plate according to the present invention; -
FIG. 5 andFIG. 6 are front and back views of the vertical inline plate according to the present invention; -
FIG. 7 andFIG. 8 are side views of the vertical inline plate according to the present invention; -
FIG. 9 illustrates as side view of the vertical inline plate and a bone fastener according to the present invention; and -
FIG. 10 illustrates a bottom perspective view of the vertical inline plate and bone fastener according to the present invention. -
FIGS. 1-4 illustrate a top view and a bottom view of abone plate 10 according to the preferred embodiment of the present invention. Thebone plate 10 comprises anupper surface 12 and alower surface 14, with thelower surface 14 configured to contact bone. Thebone plate 12 may further have a plurality ofholes 16 configured and adapted to receive fasteners, such as, for example, screws that will affix the bone plate to the bone. Thebone plate 10 is contoured in two directions in order to match the lordotic and medial lateral curvatures of the spine. - The
bone plate 10 is further configured with aspherical hole 18 adjacent to each one of the plurality ofholes 16 that is adapted to receive aset screw 20. Theset screw 20 blocks each one of the bone screws from coming out of thebone plate 10 so that the bone screw will not back out of the plate even if the screw shaft loses purchase with the surrounding bone, which can occur in patients having substandard bone structure resulting from osteoporosis or other factors. - On the bottom portion of the
bone plate 10, a singlecontinuous ridge 22, as shown inFIGS. 3 and 4 , extend around the edge of theplate 10 surrounding the plurality ofholes 16. Specifically, theridge 22 protrudes from thebottom surface 14 of thebone plate 10 and may be embedded within a vertebrae when the bone plate is installed. The contact between theridge 22 and the bone provides bone purchase in addition to that provided by the bone screws. Theridge 22 also allows for torsional stability between theplate 10 and the bone. Theridge 22 may be configured to be in any shape that can grip a structure composed of bone. Theridge 22 and thebone plate 10 are a single piece of titanium alloy, but may be made of any material possessing superior strength which is compatible with the human body. - The
bone plate 10 is also provided withgraft windows 24 that extend from theupper surface 12 to thelower surface 14, that may be symmetrically or asymmetrically. Graft materials and synthetic proteins may be placed within thesewindows 24 to accelerate bone grown between the two adjacent vertebrae. Thebone plate 10 is also provided with a reduced cross sectional area in between thebone screw holes 16 in order to more easily fit the anatomy as well as to allow for and isolate the bending of the plate in these zones. - The size of the
bone plate 10 may be of any appropriate size required to perform its function. The length of thebone plate 10 maybe within a range of about 8 millimeters to 34 millimeters for plates used to stabilize one level of the cervical spine. Abone plate 10 used to stabilize two levels in the cervical spine have the length within the range of about 18 millimeters to about 54 millimeters. The optimal length for a one level bone plate is between 13 millimeters and 26 millimeters. The optimal length of a two level bone plate is between 26 millimeters to 46 millimeters. The width of the bone plate is between 8 millimeters and 20 millimeters. However, the optimal width of the bone plate is between 10 and 14 millimeters according the preferred embodiment. The size and geometry of the plate system according to the present invention enables surgeon with easier access to the anterior elements of the spine. The reduced number of screw holes to fasten the plate with the vertebrae allows reduces the risks associated with fastening additional screws into spine as accomplished by the larger spinal plate system. -
FIGS. 5 , 6, 7, and 8 illustrate the front, back and a side view of thebone plate 10. Thebone plate 10 also has tool engagement features on the sides of the plate. Specifically, on the sides of the bone plates, there are provided a plurality of depressions positioned for engaging with an instrument. The engaging instrument contacts the bone plate and enables the surgeon or user to control the plate so that, it is placed in the proper position in the honey elements of the spine. The shape of these depressions allow for the ability to have the screws positioned through a fixed or variable angle connection. -
FIGS. 9 and 10 illustrate thebone plate 10 and a bone fastener or screw. Thescrew 30 used to connect the bone plate to the bone are provided with a spherical head that is selectively engageable with the spherical curvature of the hole. An elongate shaft is connected to the spherical head to allow it to penetrate the bony tissue of the vertebrae. Preferably, the elongate shaft includes threads that aid in fixing the plate to a vertebra. It is also desirable to have a hexagonal projection to aid in gripping the screw. The length of the elongate shaft may be varied as desired. In one embodiment, the length of the elongate shaft is about 20 millimeters or less. In another embodiment, the length of the elongate shaft is about 10 millimeters or less. In yet another embodiment, the length of the elongate shaft is about 5 millimeters or less. - The cervical plate system is attached to at least two vertebrae in the cervical region of the spine. This region is generally accessed anterioraly. A partial or complete discectomy is performed for the possible placement of a spacer between the two adjacent vertebrae which enhances fusion between the vertebrae. The plate is positioned over the two adjacent vertebrae with the graft windows being positioned so that the disc space is accessible through the window. Bone screws are screwed into the vertebrae through the screw hole in the plate. The center of the screw holes are positioned on a central axis of the plate. The plate system according to the present invention provides the stability to allow fusion to occur between the adjacent vertebra with minimal discomfort to the patient and reduces the negative effects caused by larger plate system.
- While it is apparent that the invention disclosed herein is well calculated to fulfill the objects stated above, it will be appreciated that numerous modifications and embodiments may be devised by those skilled in the art.
Claims (17)
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/614,067 US8795340B2 (en) | 2008-11-07 | 2009-11-06 | Vertical inline plate |
US14/286,680 US9005256B2 (en) | 2008-11-07 | 2014-05-23 | Vertical inline plate |
US14/643,299 US9113965B2 (en) | 2008-11-07 | 2015-03-10 | Vertical inline plate |
US14/802,013 US20150320453A1 (en) | 2008-11-07 | 2015-07-17 | Vertical inline plate |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11244208P | 2008-11-07 | 2008-11-07 | |
US12/614,067 US8795340B2 (en) | 2008-11-07 | 2009-11-06 | Vertical inline plate |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US14/286,680 Continuation US9005256B2 (en) | 2008-11-07 | 2014-05-23 | Vertical inline plate |
Publications (2)
Publication Number | Publication Date |
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US20100121382A1 true US20100121382A1 (en) | 2010-05-13 |
US8795340B2 US8795340B2 (en) | 2014-08-05 |
Family
ID=42165921
Family Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/614,067 Active 2031-07-28 US8795340B2 (en) | 2008-11-07 | 2009-11-06 | Vertical inline plate |
US14/286,680 Active US9005256B2 (en) | 2008-11-07 | 2014-05-23 | Vertical inline plate |
US14/643,299 Active US9113965B2 (en) | 2008-11-07 | 2015-03-10 | Vertical inline plate |
US14/802,013 Abandoned US20150320453A1 (en) | 2008-11-07 | 2015-07-17 | Vertical inline plate |
Family Applications After (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US14/286,680 Active US9005256B2 (en) | 2008-11-07 | 2014-05-23 | Vertical inline plate |
US14/643,299 Active US9113965B2 (en) | 2008-11-07 | 2015-03-10 | Vertical inline plate |
US14/802,013 Abandoned US20150320453A1 (en) | 2008-11-07 | 2015-07-17 | Vertical inline plate |
Country Status (1)
Country | Link |
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US (4) | US8795340B2 (en) |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2013036687A1 (en) | 2011-09-06 | 2013-03-14 | Globus Medical, Inc. | Spinal plate |
US20140277175A1 (en) * | 2013-03-15 | 2014-09-18 | Christopher A. Campbell | Bone repair system, kit and method |
US8940030B1 (en) | 2011-01-28 | 2015-01-27 | Nuvasive, Inc. | Spinal fixation system and related methods |
US20150209091A1 (en) * | 2014-01-28 | 2015-07-30 | Biomet C.V. | Implant with Suspended Locking Holes |
CN105125271A (en) * | 2015-09-16 | 2015-12-09 | 常州市康辉医疗器械有限公司 | Anatomical locking and pressurizing anti-backing bone plate for proximal femur |
US10098677B2 (en) | 2011-09-06 | 2018-10-16 | Globus Medical, Inc. | Spinal plate |
US10537372B2 (en) | 2009-06-30 | 2020-01-21 | The Penn State Research Foundation | Bone repair system and method |
CN111544103A (en) * | 2019-02-12 | 2020-08-18 | 上海长征医院 | Spine fixing system |
Families Citing this family (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7909860B2 (en) | 2003-09-03 | 2011-03-22 | Synthes Usa, Llc | Bone plate with captive clips |
US20050049595A1 (en) | 2003-09-03 | 2005-03-03 | Suh Sean S. | Track-plate carriage system |
US20090105756A1 (en) | 2007-10-23 | 2009-04-23 | Marc Richelsoph | Spinal implant |
US9603629B2 (en) | 2008-09-09 | 2017-03-28 | Intelligent Implant Systems Llc | Polyaxial screw assembly |
US11123117B1 (en) * | 2011-11-01 | 2021-09-21 | Nuvasive, Inc. | Surgical fixation system and related methods |
US9044273B2 (en) | 2013-10-07 | 2015-06-02 | Intelligent Implant Systems, Llc | Polyaxial plate rod system and surgical procedure |
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Also Published As
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US20140257406A1 (en) | 2014-09-11 |
US9113965B2 (en) | 2015-08-25 |
US20150182262A1 (en) | 2015-07-02 |
US9005256B2 (en) | 2015-04-14 |
US8795340B2 (en) | 2014-08-05 |
US20150320453A1 (en) | 2015-11-12 |
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